Elmore v. State Farm Mutual Automobile Insurance

504 S.E.2d 893, 202 W. Va. 430, 1998 W. Va. LEXIS 46
CourtWest Virginia Supreme Court
DecidedJune 22, 1998
Docket24634
StatusPublished
Cited by76 cases

This text of 504 S.E.2d 893 (Elmore v. State Farm Mutual Automobile Insurance) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Elmore v. State Farm Mutual Automobile Insurance, 504 S.E.2d 893, 202 W. Va. 430, 1998 W. Va. LEXIS 46 (W. Va. 1998).

Opinion

MAYNARD, Justice:

We are called upon here to answer a certified question from the Circuit Court of Harrison County regarding the viability of a third-party common law bad faith insurance action. The certified question and the circuit court’s answer are as follows:

Whether, under West Virginia law, there is a legally cognizable cause of action by a third-party claimant against an insurance carrier for common law breach of fiduciary duty and for common law breach of the implied covenant of good faith and fair dealing (common law bad faith).
Answer of the circuit court: Yes.

This certified question comes to us as the result of the circuit court’s partial denial of the defendant’s motion for judgment on the pleadings and for summary judgment. Questions pertaining to a ruling of the trial court on a motion for judgment on the pleadings are properly certifiable. 1 Also,

West Virginia Code, 58-5-2 (1967), allows for certification of a question arising from a denial of a motion for summary judgment. However, such certification will not be accepted unless there is a sufficiently precise and undisputed factual record on which the legal issues can be determined. Moreover, such legal issues must substantially control the case.

Syllabus Point 5, Bass v. Coltelli, 192 W.Va. 516, 453 S.E.2d 350 (1994). We have determined there is a sufficiently precise and undisputed factual record upon which the legal issues may be resolved and “such legal issues ... substantially control the ease.” Id. The question before us, therefore, is properly certified under W.Va.Code § 58-5-2 (1967) and is within the jurisdiction of this Court.

I.

FACTS

A sketch of the pertinent facts is as follows. On August 10, 1990, Chester Workman drove his vehicle across the center line of the roadway and collided with a vehicle operated by the plaintiff, Michael Elmore. *432 The collision resulted in the deaths of the plaintiffs pregnant wife, Tamela Faith El-more, and unborn child as well as injuries to the plaintiff and his three-year-old son, Andrew C. Elmore. At the time of this accident, Chester Workman was insured by defendant State Farm Mutual Automobile Insurance Company (“State Farm”) under a liability insurance policy with limits of $100,-000 per person and $300,000 per occurrence. Defendant Allstate Insurance Company (“Allstate”) insured the plaintiff under a policy of underinsured motorist coverage.

Concerning the events which gave rise to the underlying action, the plaintiff alleges the following occurred. In the aftermath of the auto accident, Defendant Roberta Paugh, employed by State Farm as an insurance adjuster, contacted the plaintiff regarding his claims against Chester Workman. Paugh informed the plaintiff that he would not receive the entire $300,000 policy limit because $100,-000 was being retained by State Farm to settle the claims of the passengers in the Workman vehicle. 2 Allstate instructed the plaintiff to first settle with State Farm before filing his claim for underinsured coverage with Allstate.

State Farm subsequently drafted releases for the disputed claims. At this time, the plaintiff informed State Farm that he desired to retain an attorney before executing the releases. Paugh, however, advised the plaintiff that there was no need to retain an attorney because he was receiving the maximum amount available to him under the policy, and if he hired an attorney, he would ultimately pay one third of his recovery in attorney fees. Consequently, the plaintiff, pro se, entered into a settlement and release with the estate of Chester Workman and State Farm in the amount of $200,000. Unknown to the plaintiff at this time, however, State Farm had paid only $57,500 to the occupants of the Workman vehicle. 3

The plaintiff subsequently contacted Allstate concerning his underinsurance policy. Allstate, through its agent Annabelle Hawkins, also a defendant in the underlying claim, repeatedly informed the plaintiff that she was in contact with her superiors regarding his claim. For close to two years, Allstate refused to either admit or deny the plaintiffs claim for underinsured policy coverage. 4

As a result, the plaintiff retained an attorney and in August 1992 filed suit against the Estate of Chester Workman, State Farm and Allstate in the Circuit Court of Randolph County. At this time, Allstate asserted that it was denying the plaintiffs underinsurance claim on the basis that the limits of the State Farm policy were not exhausted and that the plaintiff had failed to preserve Allstate’s sub-rogation rights. By agreement, State Farm rescinded the releases formerly executed by the plaintiff and paid the remaining $42,500 available under Workman’s liability policy.

The plaintiff instituted the underlying action in the Circuit Court of Harrison County on December 2, 1996 against State Farm, Allstate, Paugh and Hawkins. State Farm moved to dismiss, which motion was granted in part and denied in part. Relevant to our purposes, the complaint alleges that State Farm breached its fiduciary duty and an implied covenant of good faith and fair dealing owed to the plaintiff, a third-party claimant. The trial court denied State Farm’s motion to dismiss these allegations but certified the question as to their legal viability. This Court granted the Petition for Docketing of Certified Question. All remaining counts of the complaint relating to State Farm have been dismissed and are not the subject of this certified question. Also, the *433 remaining counts against Allstate have not been dismissed but are pending below and are not involved in the certified question.

II.

STANDARD OF REVIEW

“The appellate standard of review of questions of law answered and certified by a circuit court is de novo.” Syllabus Point 1, Gallapoo v. Wal-Mart Stores, Inc., 197 W.Va. 172, 475 S.E.2d 172 (1996).

III.

DISCUSSION

We are asked to decide:

Whether, under West Virginia law, there is a legally cognizable cause of action by a third-party claimant against an insurance carrier for common law breach of fiduciary duty and for common law breach of the implied covenant of good faith and fair dealing (common law bad faith).

Prior to addressing the plaintiffs precise arguments based on the specific facts of this case, we will first consider whether there is a general third-party common law bad faith insurance claim under our law.

A. Third-Party Common Law Bad Faith Claim

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Cite This Page — Counsel Stack

Bluebook (online)
504 S.E.2d 893, 202 W. Va. 430, 1998 W. Va. LEXIS 46, Counsel Stack Legal Research, https://law.counselstack.com/opinion/elmore-v-state-farm-mutual-automobile-insurance-wva-1998.